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Home My WebLink AboutL 12064 P 275 Tax Map Designation Dist. 1000 070.00 04.00 Lot(s) 022.000 NY 005 - Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Coq~oration (Single Sheet) (NYBTU 8002), CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT. THIS INSTRUMENT SHOULD BE USED BY LAWYER~ ONLY THIS INDENTURE, made the [ h''~' dayof ~ BETWEEN LORA S. COLLINS, residing at 1175 Hill Road, Southold, NY 1197I , in the year 2000 party of the fimt pall, and DAVID T. DEVLIN and LORA S. COLLINS, as tenants in common, residing at 1175 Hill Road, Southold, NY 11971 party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other valuable consideration p~','d by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assign~ of the party of the second part forever, . ' ALL that cel~ain plot, piece or parcel of land, with the buildings and ~mvements thereon erected, situate, lying and being in Town of Southold, County of Suffolk and State of New York, designated as Lot 1, on Map entitled, "Map of Calves eck and filed tn the Suffolk County C erk s Office on February 15, 1972, as Map Number 5673. The grantor here±n ±s the same person as the grantee tn Deed dated September 25, 1996 recorded ±n L±ber 11796 Page 004 on October 7, 1996. TOGETHER with all right, title and interest, if any, of the party of the fa'st part of, in and to any streets and roads abutting the: above-described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the pan'y of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will;. receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payme~nt of the cost of the ~mprovement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. the party of the first part has duly executed this deed the day and year first above writt~en. ~ ~'or~a S. Collin% 12064 ,27§i ' DISTRICT: 1000 SECTION: 070.00 BLOCK: 04.00 LOT: 022.000 ALL that certain Plot, piece or parcel of land, with thee braidings and ~mprovements the ....... lying and being in the Town of Southold, ,~v,, ~recm(l, situate, ~ounty of Suffolk and State of New York, designated as Lot 1, on Mapentitled~. "Map of Calves Neck" and filed in the Suffolk County Clerk's Office on February 15, 1972. as Map Number 5673. TOGETHER with all right, titl~ and interest, if any. Of the party of the firsl part in and to any strnnf-, m~d rnnrlq" abutting the above described premises USE A CIOVOWLED~MEN~ FORM BELOW }[ITHiN NEW ~-ORK STATE ONLY: State of New York, County of Suffolk } ss.: On the ] day of ~ ' ~/)q'/fl.~'~ in the year 2000 before me, the undersigned, p~rson~lly appeared Lora S. Collins personally known to me or e basis of satisfactor~ evidence to be th ~are) subscribed to the within instrument; ~ executed the same in and that by his/her/their signatnm(s) on person upon Notary Publio, State of New Yo~ No 0201.2959600 Qualified in Suffolk County ~ ;:F, oma~f~a ~ Ma~ 30. V~/ A CIOVOWLEDGMENT FoP~i FOR USE WITHIN NEW YORK STATE ONLY: [New York Subscribing Witness Acknowledgment Certificate/ State of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared the subscribing wimess to the fomgohig instrument, with whom I an~ personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in (if the place of residence is in a city, include the street and street number, if any, thereojg; that he/she/they know(s) to be the individual described in and who executed'the foregoing instrument; that said subscribing wimess was present and saw said execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YoRK STA~ O ~3iLy, ... State of New York, County of } sg: On the day of in the year before me, the undersigned, personally appeared personally known to me or proved to me on the basis of safisfactnry evidence to be the individual(s) whose name(s) is (am) subscribed to the within insh-umunt and acknowledged to me that he/she/they the same in his/her/their capacity(ica), and that by hi~mffi~ signature(s) on the instrument, the individual(s), or the pe~on behalf of which the individual(s) acted, executed the instmmenL ACKNOWLEDGMENT FORM FOR USE OI]TSJ~E N~v YOPJC SI'A~ ONLY: {Out of State or Foreign General Acknowledgment CeriO~cate] (Complete Venue with State, Country, Province or Municipalily) On the day of in the year before me, the undersigned, personally appeared pe.rs, onally known to ~e or proved to me on the bssis~ Ofh~afisfaeto~ ev dence to be the mdiwdual(s) whose name(s) is (are) subscribed to the within insh'ument and acknowledged to me that he/she/they execut~xl the same in his/her/their capacity(ies), that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the insmnnent, and that such individual made such appearance before the undersigned in the Insert the city or other political subdivision and the state or country or other place the acknowledgment wa& taken). ~TLENo. BARGAIN & SALE DEED WITH COVENANTS AGAINST GRAI~fOR'$ ACTS COLLINS TO DEVLIN AND COLLINS FIDELITY NATIONAL TITLE INSURANCE OCOMPANY OF NEW YORK ~,~ /d. Fidelity ~,~/' DISTRICT SECTION BLOCK LOT COUNTY OR TOWN RECORDED AT REQUES1~ OF Fidelity National Title Insurance Company of New York REITJRN BY MAIL TO GARY FLANNER OLSEN Main Rd, PO Box 706 Cutchogue, NY 11935 uJ O 12064P 275 Number of pages TORRENS Serial # Certificate # Prior Ctf. # Deed / Mortgage Instrument. 41 Page / Filing Fee /~2 j Handling ~ ~- TP-584 (~ ~ $_ RECeiVED REAL ESTATE AUG 1 8 2000 TRANSFER TAX SUFFOLK COUNTY Deed / Mortgage Tax Stamp FEES Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit Certified Copy Reg. Copy · Other 15 500 'O Sub Total {~'"'~ GRAND TOTAL ~ '-' 5 Dab Real Property Tax Service Agency Verification Dist. Section B lock Lot 1000 070.00 04.00 022.000 Satisfactions/Discharges/Releases List Property Owners Mailing RECORD & RETURN TO: .RECORD Z000 AUG 18 PH 3: 53,i EDWARD ?. ROHAINE CLERK OF SUFFOLK COUNTY Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. Or Spec./Add. TOT. MTG. TAX Dual Town__ Dual County~ Held for Apportionment __ Transfer Tax ~ Mansion Tax The property covered by this mortgage is cr will be improved by a one or two fami!y dwelling only. YES~ or NO If NO, see appropriate tax clause o~ page # __ of this instrument. : Community Preservation Fum~ Consideration Amount $ ~ ' CPF Tax Due "$ ~' -- RECEIVED $ --~-- ...... acant Land AUG 18 2000 /O GARY FLANNER 0LS£N Main Rd, PO Box 706 Cutchogue, NY 11935 Suffolk This page forms part of the attached P~ a,:,~ , V, ,TION FUND Title Company Information Co. Name Fidelity National Title Title # :d~) 0/0'"-/.~_ Recordin & Endorsement Deed LORA S. COLLINS TO. DAVID T. DEVLIN AND LORA S. COLLINS made b.: (SPECIFY TYPE OF INSTRUMENF ) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the Township of In the VILLAGE or HAMLET of SOUTHOLD BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. FOR COUNTY USE ONLY C1. $W15 Code c2. I / Month Day Year PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222 . ?,-/. 3, .EAL P.O.E.. T.A.SFE..E.O.T STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP- 5217 PROPERTY INFORMATION ~ 1. Property L°cati°n I STREET NUMBER ] LOtsT.EET#I NAME"Map Oi Calves Neck" I Southold I Southold I 11971 CITY OR TOWN VILLAGE Z~p CODE 2. Buyer I I~_Vl in I David T. Name LAST NAME / COMPANy FIRST NAME I Collins [ Lord S. 3. Tax Billing Address LAST NAME / COMPANY Indicate where future Tax Bills are to be sent if other than buyer address (at bottom of form) FIRST NAME LAST NAME / COMPANY FIRST NAME 4. Indicate the number of Assessment [-~ Roll parcels transferred on the deed I I # of Parcels OR Par~ of a Parcel 5. Deed Property [ Ixl IORI · I Size FRONT FRET DEPTH IACRE$1 Collins Lord S. ~m somme, I I (Only if Part of a Parcel) Cheek as they apply: 4A. Planning Board with Subdivision Authority Exists [] 4B. Subdivision Approval was Required for Transfer [] 4C. Parcel Approved for Subdivision with Map Provided [] Name LAST NAME / COMPANY LAST NAME / COMPANY FIRST NAME 7. Check the box below which most accurately describes the use of the property at the time of sale: ' "i~One Family Residenfial i~Agdcugural i[~cOmmunity SerVice 2 or 3 Family Residential Commercial Industrial Residential Vacant Land Apartment Public Service Non-Residential Vacant Land Entertainment / Amusement Forest I SALE INFORMATION I 11. Sale Contract Date I / / Month Day Year 12. Date of Sale ! Transfer I ~ / ) / 00 I ~ Month Day Year Cheek the boxes below as they apply: 8. Ownership Type is Condominium [] 9. New Construction on Vacant Land [] 10A, Property Located within an Agricultural District r~ 10B, Buyer received a disclosure notice indicating ~ that the property is in an Agricultural District 15. Check one or more of these conditions as applicable to transfer: A B C D E F Sale Between Relatives or Former Relatives Sale Between Related Companies or Partners in Business One of the Buy, ers is also a Seller Buyer or Ssf~er is Government Agency or Lending Institution Deed Type not Warranty or Bargain and Sale (Specify Below) Sale of Fractional or Less than Fee Interest ISpecify Below) 13. Full Sale Price i I I I (Full Sale Price is the total amount paid for the properly including personal property. This payment may he in the form of cash, other property or goods, or the assumption of j mortgages or other obligations.) Please round to the nearest whole doflar amount. 14.1ndicate the value of personal I m m m m m m m 0 m 0 ] pro~ included in the ~le 5 5 ASSESSMENT INFORMATION - Data shourd reflect the latest Final Assessment Roll and Tax Biff 16. Year of A~essment Roll from j ~ J 17, Total A~d Value (of all par~ls in tran~er) which informMion ~ken 18. PropeAy Cla~ I ~, [ , ~;I-~ 19, School Di~ri~ Name I , 20. Tax Map Identifier(s) / Roll Identiflar(s) {if more than four, attach sheet with additional identifier(s)) [000-070~00-04.00-022. 000 I I Significant Change in Proper~ Between Taxable Status and Sale Dates Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Below) None [ I I J CERTIFICATION i certify that all of the items of infornmtion entered on this form ar~ true and correct (to the best of my knowledge and belief) and I understand that the making of 9ny willful false statement of material fact herein wiB ~ubject me to the provisions of the penal law relative to the making and filing of false inslruments. BUYER SIGNATURE DATE BUYER'S ATrORNEY 01sen I Gary LAST NAME FIRST NAME 631 73~-7666 AREA CODE TELEPHONE NUMBER ICITY/TOWNASSESSOR1